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INTERNATIONAL ANGIOLOGY

Rivista di Angiologia


Official Journal of the International Union of Angiology, the International Union of Phlebology and the Central European Vascular Forum
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International Angiology 2012 October;31(5):438-43

Copyright © 2012 EDIZIONI MINERVA MEDICA

lingua: Inglese

Surgery for ruptured abdominal aortic aneurysm and early mortality in women. Risk factors and complication profile

Berge C. 1, 2, Hagen A. I. 2, Myhre H. O. 1, 2, Haug E. S. 3, Dahl T. 1, 2

1 Department of Circulation and Medical Imaging; Norwegian University of Science and Technology, Trondheim, Norway;
2 Department of Surgery, University Hospital of Trondheim, Norway;
3 Department of Urology, Vestfold Hospital, Tønsberg, Norway


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AIM: Repair of ruptured abdominal aortic aneurysm (rAAA) is reported to have a higher mortality in women than in men. The aim was to study whether this difference could be verified in our institution and secondary if difference in risk- and complication profiles could explain the higher 30 day mortality after surgery for rAAA in women.
METHODS: During the period 1983-2009 1649 patients, 1348 men and 301 women, were operated consecutively for infrarenal abdominal aortic aneurysm (AAA); 430 patients had rAAA, 98 women and 332 men. Co-morbidities were identified from the patients’ medical records. Outcome measures within 30 days were mortality, cardiac disease (heart attack, heart failure), cerebrovascular disease (stroke, TIA), renal insufficiency (serum creatinine >140 µmol/L), major amputation, bowel infarction, pancreatitis and graft related complications.
RESULTS: Compared to men, women had higher 30 d mortality after surgery for rAAA (54.1% vs. 36.3%, P=0.002). Women were significantly older than men (76 years vs. 73 years, P=0.001). In the period 1995-2009 women had more autoimmune diseases than men (P=0.045). There was no significant difference between men and women for the other measured outcomes.
CONCLUSION: During the period 1995-2009, autoimmune disease were more common among women than men. For all other parameters recorded, there were no differences in risk – or complication profile that could explain the higher 30 d mortality in female patients after surgery for rAAA.

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torbjorn.dahl@stolav.no